DEPARTMENT OF INSURANCE

Affiliations

Name	Block, Dorothy Mae	DOIID	342724	NAIC NPN	7188246

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	General Lines	5/1/1986	8/15/2000
Inactive	Resident	Agent	Property	8/15/2000	11/1/2015
Inactive	Resident	Agent	Casualty	8/15/2000	11/1/2015
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	AIG Assurance Company	300897	Agent - Casualty	8/15/2000	8/25/2008
Inactive	AIG Assurance Company	300897	Agent - General Lines	8/29/1995	8/15/2000
Inactive	AIG Assurance Company	300897	Agent - Property	8/15/2000	8/25/2008
Inactive	Aegis Security Insurance Company	300492	Agent - Casualty	8/3/2011	11/1/2015
Inactive	Aegis Security Insurance Company	300492	Agent - Property	8/3/2011	11/1/2015
Inactive	American Economy Insurance Company	300315	Agent - Casualty	8/15/2000	11/1/2015
Inactive	American Economy Insurance Company	300315	Agent - General Lines	11/1/1998	8/15/2000
Inactive	American Economy Insurance Company	300315	Agent - Property	8/15/2000	11/1/2015
Inactive	American Fire and Casualty Company	300567	Agent - Casualty	10/7/2008	11/1/2015
Inactive	American Fire and Casualty Company	300567	Agent - Property	10/7/2008	11/1/2015
Inactive	American States Insurance Company	301230	Agent - Casualty	8/15/2000	11/1/2015
Inactive	American States Insurance Company	301230	Agent - General Lines	11/1/1998	8/15/2000
Inactive	American States Insurance Company	301230	Agent - Property	8/15/2000	11/1/2015
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	10/7/2008	10/20/2011
Inactive	Consolidated Insurance Company	300943	Agent - Property	10/7/2008	10/20/2011
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	5/16/2005	3/24/2015
Inactive	First National Insurance Company of America	301690	Agent - Casualty	8/15/2000	11/1/2015
Inactive	First National Insurance Company of America	301690	Agent - General Lines	2/7/1992	8/15/2000
Inactive	First National Insurance Company of America	301690	Agent - Property	8/15/2000	11/1/2015
Inactive	General Insurance Company of America	300261	Agent - Casualty	8/15/2000	11/1/2015
Inactive	General Insurance Company of America	300261	Agent - General Lines	2/7/1992	8/15/2000
Inactive	General Insurance Company of America	300261	Agent - Property	8/15/2000	11/1/2015
Inactive	Great American Alliance Insurance Company	301247	Agent - Casualty	8/15/2000	4/29/2002
Inactive	Great American Alliance Insurance Company	301247	Agent - General Lines	3/5/1990	8/15/2000
Inactive	Great American Alliance Insurance Company	301247	Agent - Property	8/15/2000	4/29/2002
Inactive	Great American Insurance Company	301586	Agent - Casualty	8/15/2000	4/29/2002
Inactive	Great American Insurance Company	301586	Agent - General Lines	7/21/1988	8/15/2000
Inactive	Great American Insurance Company	301586	Agent - Property	8/15/2000	4/29/2002
Inactive	Great American Insurance Company of New York	301897	Agent - Casualty	8/15/2000	4/29/2002
Inactive	Great American Insurance Company of New York	301897	Agent - General Lines	7/21/1988	8/15/2000
Inactive	Great American Insurance Company of New York	301897	Agent - Property	8/15/2000	4/29/2002
Inactive	Hallmark National Insurance Company	300494	Agent - Casualty	8/15/2000	5/28/2003
Inactive	Hallmark National Insurance Company	300494	Agent - General Lines	1/9/1995	8/15/2000
Inactive	Hallmark National Insurance Company	300494	Agent - Property	8/15/2000	5/28/2003
Inactive	Illinois National Insurance Company	301367	Agent - Casualty	8/15/2000	3/31/2002
Inactive	Illinois National Insurance Company	301367	Agent - General Lines	8/29/1995	8/15/2000
Inactive	Illinois National Insurance Company	301367	Agent - Property	8/15/2000	3/31/2002
Inactive	Indiana Insurance Company	301909	Agent - Casualty	10/7/2008	11/1/2015
Inactive	Indiana Insurance Company	301909	Agent - Property	10/7/2008	11/1/2015
Inactive	Kentucky National Insurance Company	301625	Agent - Casualty	6/29/2011	11/1/2015
Inactive	Kentucky National Insurance Company	301625	Agent - Property	6/29/2011	11/1/2015
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	10/7/2008	10/20/2011
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	10/7/2008	10/20/2011
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	10/7/2008	11/1/2015
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	10/7/2008	11/1/2015
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	10/7/2008	11/1/2015
Inactive	Ohio Security Insurance Company	300622	Agent - Property	10/7/2008	11/1/2015
Inactive	Omni Insurance Company	301545	Agent - General Lines	8/25/1994	3/31/2000
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Casualty	10/7/2008	10/20/2011
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Property	10/7/2008	10/20/2011
Inactive	Peerless Insurance Company	301910	Agent - Casualty	10/7/2008	11/1/2015
Inactive	Peerless Insurance Company	301910	Agent - Property	10/7/2008	11/1/2015
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	8/15/2000	11/1/2015
Inactive	SAFECO Insurance Company of America	300159	Agent - General Lines	5/1/1986	8/15/2000
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	8/15/2000	11/1/2015
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	8/15/2000	11/1/2015
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - General Lines	2/7/1992	8/15/2000
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	8/15/2000	11/1/2015
Inactive	SAFECO National Insurance Company	300989	Agent - Casualty	8/15/2000	12/6/2004
Inactive	SAFECO National Insurance Company	300989	Agent - General Lines	2/7/1992	8/15/2000
Inactive	SAFECO National Insurance Company	300989	Agent - Property	8/15/2000	12/6/2004
Inactive	State Auto Property & Casualty Insurance Company	301953	Agent - Casualty	8/15/2000	5/28/2003
Inactive	State Auto Property & Casualty Insurance Company	301953	Agent - General Lines	2/28/1996	8/15/2000
Inactive	State Auto Property & Casualty Insurance Company	301953	Agent - Property	8/15/2000	5/28/2003
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Casualty	8/15/2000	5/28/2003
Inactive	State Automobile Mutual Insurance Company	301824	Agent - General Lines	6/24/1986	8/15/2000
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Property	8/15/2000	5/28/2003
Inactive	Trumbull Insurance Company	300242	Agent - Casualty	8/15/2000	12/26/2001
Inactive	Trumbull Insurance Company	300242	Agent - General Lines	7/3/1998	8/15/2000
Inactive	Trumbull Insurance Company	300242	Agent - Property	8/15/2000	12/26/2001
Inactive	West American Insurance Company	301112	Agent - Casualty	10/7/2008	11/1/2015
Inactive	West American Insurance Company	301112	Agent - Property	10/7/2008	11/1/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Humston Holt Insurance Agency Inc.	398993	Agent - General Lines	6/29/1999	8/15/2000
Inactive	Humston Holt Insurance Agency Inc.	398993	Agent - Property	8/15/2000	11/1/2015
Inactive	Humston Holt Insurance Agency Inc.	398993	Agent - Casualty	8/15/2000	11/1/2015
Inactive	Plums Inc.	400732	Agent - General Lines	6/4/1992	8/15/2000
Inactive	Plums Inc.	400732	Agent - Property	8/15/2000	7/8/2002
Inactive	Plums Inc.	400732	Agent - Casualty	8/15/2000	7/8/2002